<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_id" data-rule="required" min="0" data-source="order/index" class="form-control selectpage" name="row[order_id]" type="text" value="{$row.order_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Overhaul_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-overhaul_id" data-rule="required" min="0" data-source="overhaul/index" class="form-control selectpage" name="row[overhaul_id]" type="text" value="{$row.overhaul_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Overhaul_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-overhaul_name" data-rule="required" class="form-control" name="row[overhaul_name]" type="text" value="{$row.overhaul_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Overhaul_remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-overhaul_remark" data-rule="required" class="form-control" name="row[overhaul_remark]" type="text" value="{$row.overhaul_remark|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Overhaul_remark_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-overhaul_remark_image" data-rule="required" class="form-control" size="50" name="row[overhaul_remark_image]" type="text" value="{$row.overhaul_remark_image|htmlentities}">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-overhaul_remark_image" class="btn btn-danger faupload" data-input-id="c-overhaul_remark_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-overhaul_remark_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-overhaul_remark_image" class="btn btn-primary fachoose" data-input-id="c-overhaul_remark_image" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-overhaul_remark_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-overhaul_remark_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Overhaul_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="overhaulStatusList" item="vo"}
            <label for="row[overhaul_status]-{$key}"><input id="row[overhaul_status]-{$key}" name="row[overhaul_status]" type="radio" value="{$key}" {in name="key" value="$row.overhaul_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
